Tacit knowledge in medical consultations for patients with profound intellectual and multiple disabilities: An exploratory qualitative study.

IF 1.2 4区医学 Q1 EDUCATION, SPECIAL

Journal of Intellectual & Developmental Disability Pub Date : 2025-03-01 Epub Date: 2024-09-25 DOI:10.3109/13668250.2024.2402380

Ilse Harmina Zaal-Schuller, K Kruithof, M Hoogsteyns, A M Nieuwenhuijse, D L Willems, S A Huisman

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引用次数: 0

Abstract

Background: Patients with profound intellectual and multiple disabilities (PIMD) cannot clearly express themselves. Therefore, tacit knowledge (TK) is crucial in caring for individuals with PIMD, while it possibly also plays a significant role in medical consultations.

Method: A qualitative inductive, thematic analysis was performed of 14 audio-taped consultations with intellectual disability physicians for patients with PIMD to explore how TK is represented and considered between parents and physicians.

Results: Parents conveyed their TK by sensing and perceptions of changes of their child's behaviour. Our findings demonstrate that parents of individuals with PIMD primarily shared TK concerning pain, sleeping issues, and epilepsy. Physicians recognised and incorporated parents' TK, highlighting its significance in patient care.

Conclusion: This study underscores the important role of TK in consultations for patients with PIMD. Parents' TK help to shape medical-decisions, urging physicians to validate parents' TK while relating this TK to other types of medical knowledge.

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隐性知识在深度智力和多重残疾患者医疗咨询中的应用：一项探索性质的研究。

背景：重度智力和多重残疾（PIMD）患者不能清晰地表达自己。因此，隐性知识在PIMD患者的护理中是至关重要的，同时它也可能在医疗咨询中发挥重要作用。方法：采用定性归纳、专题分析的方法，对14份PIMD患者智障医生的问诊录音进行分析，探讨家长与医生对知识的表述和考虑。结果：父母通过感知和感知孩子的行为变化来传递他们的传统知识。我们的研究结果表明，PIMD患者的父母主要分享有关疼痛、睡眠问题和癫痫的TK。医生承认并采纳了家长的传统知识，强调了其在病人护理中的重要性。结论：本研究强调了TK在PIMD患者会诊中的重要作用。父母的传统知识有助于形成医疗决策，促使医生在将父母的传统知识与其他类型的医学知识联系起来的同时，验证父母的传统知识。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Intellectual & Developmental Disability Multiple-

CiteScore

3.40

自引率

7.70%

发文量

期刊介绍： Journal of Intellectual & Developmental Disability (formerly the Australia and New Zealand Journal of Developmental Disabilities) is the official journal of the Australasian Society for the Study of Intellectual Disability (ASSID). JIDD is an international, multidisciplinary journal in the field of intellectual and developmental disability. The journal publishes original qualitative and quantitative research papers, literature reviews, conceptual articles, brief reports, case reports, data briefs, and opinions and perspectives.